Organization
ROSEVILLA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY NICHOLS (OWNER)
(785) 232-0671
Entity
Organization
Contact information
Practice address
2075 SW FILLMORE ST, TOPEKA, KS 66604-3075
(785) 232-0671
Mailing address
2075 SW FILLMORE ST, TOPEKA, KS 66604-3075
(785) 232-0671
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
KS
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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